Initial-Exchange-Visitor-Request-Form_Updated 3-1-21

When the J-1 Research Scholar or Professor ends the J program, she/he may not return as a J-1 Research Scholar or Professor for 24 months.. *A Short-Term Scholar can be here for a maximu

TEXAS WOMAN’S UNIVERSITY INITIAL EXCHANGE VISITOR REQUEST

Date: _

Name of faculty/staff submitting request:

Faculty/staff to whom Exchange Visitor will report (if different from above) _

Department: _

Faculty/staff Email: _

Office Phone: Cell Phone: _

Email address:

Home Country: _

Funding Source (Fulbright, Employer, Other): _

Exchange Visitor must show proof of funding (approximate amounts in US Dollars): Processing fee $355; Visa fee $250;

Housing/Living expenses $12,000 per semester; Health insurance $1,100 per semester; add $4,000 for expenses for each dependent

Exchange Visitor will be a (select one): ▢ Research Scholar ▢ Professor ▢ Short-Term Scholar (< 6 months)

*A Research Scholar or Professor is eligible for a total of 5 years as a J-1 When the J-1 Research Scholar or Professor ends

the J program, she/he may not return as a J-1 Research Scholar or Professor for 24 months

*A Short-Term Scholar can be here for a maximum of 6 months This category is good for people who will be coming for

multiple short visits

Last First Middle

Accompanied by family members (Yes/No)?

If yes, please indicate the following for each family member?

Name Age _ Relationship _ Name Age _ Relationship _ Name Age _ Relationship _

TWU will provide information to help you find housing accommodations

Describe any special housing requirements you might have?

Period of Exchange

Field of

Research/Teaching:

Description of

Research/Teaching you

intend to do at TWU:

Faculty Sponsor: Date:

Chair: _Date: _

Dean: _Date: _

Please submit completed form to International Affairs, Jones Hall Suite 200 or ​intloffice@twu.edu​